Chronotype and Sleep Quality in Obesity: How Do They Change After Menopause?

Ludovica Verde, Luigi Barrea, Claudia Vetrani, Evelyn Frias-Toral, Sebastián Pablo Chapela, Ranil Jayawardena, Giulia de Alteriis, Annamaria Docimo, Silvia Savastano, Annamaria Colao, Giovanna Muscogiuri

Journal: Current obesity reports 2022;11(4):254-262

PMID: 36053414

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Abstract

PURPOSE OF REVIEW

This review primarily provides an overview of the current evidence on chronotype (which reflects an individual's preference for the timing of sleeping, eating, and activity in a 24-h period) and sleep quality changes in obesity in postmenopausal women. It also explores possible nutritional strategies to manage these changes in this phase of a woman's life.

RECENT FINDINGS

Menopause is a life stage frequently associated with sleep disturbances and changes in circadian rhythms. Sleep disturbances are one of the main symptoms of menopause and are caused by several factors such as hormonal changes, obesity, and melatonin reduction. In addition, the chronotype also changes following menopause. Nutritional strategies are essential because they could help manage menopausal sleep disturbances and circadian misalignment, particularly by tackling obesity and overweight. In the management of postmenopausal women, especially those experiencing obesity, careful assessment of sleep disturbances and chronotype and subsequent development of the most appropriate treatment, including nutritional management, should be part of the treatment routine.

Address: Centro Italiano Per La Cura E Il Benessere del Paziente Con Obesità (C.I.B.O), Dipartimento Di Medicina Clinica E Chirurgia, Unit of Endocrinology, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131, Naples, Italy.; Dipartimento di Scienze Umanistiche, Università Telematica Pegaso, Via Porzio, Centro Direzionale, isola F2, 80143, Naples, Italy.; Dipartimento Di Medicina Clinica E Chirurgia, Unit of Endocrinology, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131, Naples, Italy.; School of Medicine, Universidad Católica Santiago de Guayaquil, Av. Pdte. Carlos Julio Arosemena Tola, Guayaquil, 090615, Ecuador.; Departamento de Bioquímica Humana, Facultad de Medicina, Universidad de Buenos Aires, C1121ABE, Buenos Aires, Argentina.; Equipo de Soporte Nutricional, Hospital Británico de Buenos Aires, Buenos Aires, Argentina.; Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.; Institute of Health and Biomedical Innovation, Queensland University of Technology (QUT), Brisbane, Australia.; Cattedra Unesco "Educazione Alla Salute E Allo Sviluppo Sostenibile", University Federico II, Naples, Italy.; Centro Italiano Per La Cura E Il Benessere del Paziente Con Obesità (C.I.B.O), Dipartimento Di Medicina Clinica E Chirurgia, Unit of Endocrinology, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131, Naples, Italy. [email protected].; Dipartimento Di Medicina Clinica E Chirurgia, Unit of Endocrinology, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131, Naples, Italy. [email protected].; Cattedra Unesco "Educazione Alla Salute E Allo Sviluppo Sostenibile", University Federico II, Naples, Italy. [email protected].

DOI: 10.1007/s13679-022-00479-9

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MeSH Terms: Female, Humans, Sleep Quality, Chronotype, Obesity